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ION 2. (DATE) 3. (BUREAU OR OFFICE) 4. NAME 5. OFFICIAL STATION 6. TITLE 7. ACCOUNTING OFFICE You are authorized to travel as indicated below and to incur necessary expenses in accordance with applicable laws and regulations. PLACES OF TRAVEL 8. FROM: 9. TO: 10. PURPOSE AND REMARKS: 11. PER DIEM ALLOWANCE: 12. PERIOD OF TRAVEL: Beginning on or about Ending on or about MODE OF TRAVEL 13. 16. 14. Extra fare 15. Government-owned conveyance Common carrier at a mileage rate of cents, su.

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